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1275514978
EDDIE D. JOHNSON
SHREVEPORT, LA
NPI
1275514978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 013614)
Enumeration Date
2005-11-09
Last Update Date
2007-12-28
Business Address
-- EDDIE D. JOHNSON MD
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-671-1291
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Mailing Address
-- EDDIE D. JOHNSON MD
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-671-1291
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